Organization
SCHENECTADY CNTY GLENDL NURSING FAC
Active
Other names
SCHENECTADY COUNTY GLENDALE NURSING FACILITY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES PURCELL (SUPERVISING PHARMACIST)
(518) 384-3635
Entity
Organization
Contact information
Practice address
59 HETCHELTOWN RD, SCOTIA, NY 12302-5506
(518) 384-3635
(518) 399-5732
Mailing address
59 HETCHELTOWN RD, SCOTIA, NY 12302-5506
(518) 384-3635
(518) 399-5732
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
NY016813
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473863
—
NY
01
—
2060818
PK
—
Enumeration date
06/22/2006
Last updated
12/01/2016
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